DSHS Form 14-012 Consent - Washington

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DSHS Form 14-012 Consent - Washington

What Is DSHS Form 14-012?

This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DSHS Form 14-012 Consent?A: DSHS Form 14-012 Consent is a document used by the Washington State Department of Social and Health Services to obtain consent for medical treatment for children in their care.

Q: Who needs to fill out DSHS Form 14-012 Consent?A: DSHS Form 14-012 Consent needs to be filled out by a legal guardian or authorized representative for a child in the custody of the Washington State Department of Social and Health Services.

Q: Why is DSHS Form 14-012 Consent necessary?A: DSHS Form 14-012 Consent is necessary to ensure that medical treatment can be provided to a child under the care of the Washington State Department of Social and Health Services, with proper authorization.

Q: Can DSHS Form 14-012 Consent be revoked?A: Yes, DSHS Form 14-012 Consent can be revoked by the legal guardian or authorized representative of the child, if circumstances change or if they no longer wish to provide consent for medical treatment.

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Form Details:

  • Released on April 1, 2020;
  • The latest edition provided by the Washington State Department of Social and Health Services;
  • Easy to use and ready to print;
  • Available in French;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of DSHS Form 14-012 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.

Download DSHS Form 14-012 Consent - Washington

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